Study aims to unlock secrets of lung failure in kids
NCT ID NCT04113434
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 513 children with a severe lung condition called ARDS to find different subtypes of the disease. Researchers collected blood samples to measure proteins and gene activity. The goal was to better understand the disease and help design more targeted treatments in the future.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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513 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Apr 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Infants to adolescents between the ages of 44 weeks and 17.5 years, who are admitted to PICU for acute respiratory failure requiring invasive mechanical ventilation.
- Ages
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44 weeks to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. acute (≤ 7 days of risk factor) respiratory failure requiring invasive mechanical ventilation 2. age \> 44 weeks corrected gestational age and \< 17.5 years 3. invasive mechanical ventilation via endotracheal tube 4. bilateral infiltrates on chest radiograph 5. oxygenation index (OI) ≥ 4; or oxygen saturation index (OSI) ≥ 5 on 2 consecutive measurements at least 4 hours apart but \< 24 hours apart 6. invasively ventilated ≤ 7 days before meeting above radiographic and oxygenation criteria Exclusion Criteria: 1. weight \< 3 kilograms 2. cyanotic congenital heart disease (other than Patent Foramen Ovale (PFO) or Patent Ductus Arteriosus (PDA)) 3. tracheostomy at time of screening 4. invasively ventilated for \> 7 days when meet ARDS criteria above 5. cardiac failure as predominant cause of respiratory failure 6. primary obstructive airway disease (asthma, bronchiolitis) by judgement of clinician as the primary cause of respiratory failure 7. alternative known chronic lung disease as cause of respiratory failure (cystic fibrosis, eosinophilic pneumonia, interstitial pneumonitis, pulmonary hemosiderosis, cryptogenic organizing pneumonia) 8. severe neurologic morbidity not expected to survive \> 72 hours 9. any limitations of care at time of screening 10. previous enrollment in this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Akron Children's Hospital
Akron, Ohio, 44308, United States
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Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
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Children's Healthcare of Atlanta - Emory
Atlanta, Georgia, 30322, United States
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Columbia University Medical Center
New York, New York, 10032, United States
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Cooperman Barnabas Medical Center
Livingston, New Jersey, 07039, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Penn State Hershey Children's Hospital
Hershey, Pennsylvania, 17033, United States
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Riley Children's at Indiana University Health
Indianapolis, Indiana, 46202, United States
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Texas Children's Hospital / Baylor College of Medicine
Houston, Texas, 77030, United States
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Variety Children's Hospital D/B/A Nicklaus Children's Hospital
Miami, Florida, 33155, United States
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Washington University
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can donated immune cells calm the cytokine storm?
- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Breathing machine settings put to the test in severe lung injury
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Scientists hunt for hidden subgroups in sudden respiratory failure
- AI plus ultrasound could catch heart and lung decline before it turns critical